Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | ARNP 9372234 | FL |
NPI | 1023355120 |
---|---|
Provider Name | Andrea Dawn Morrow |
First Address | Clearwater, FL 33756-3359 |
Second Address | Clearwater, FL 33756-3359 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2013 |
Last Update Date | 06/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
107144700 | (05) | FL |